Caracterización de los cambios electrocardiográficos y ecocardiográficos de jugadores de fútbol profesional de un equipo colombiano

dc.contributor.advisorPovea, Camilo
dc.contributor.advisorMendez Toro, Arnold
dc.contributor.authorDaza Sáenz, Mauricio
dc.coverage.countryColombia
dc.date.accessioned2023-01-30T21:04:48Z
dc.date.available2023-01-30T21:04:48Z
dc.date.issued2023-01-28
dc.description.abstractEl entrenamiento de alto rendimiento produce adaptaciones cardiovasculares en respuesta a los estímulos de fuerza y resistencia. Estás adaptaciones varían dependiendo del tipo de entrenamiento, raza, edad y género. (1–3). La muerte cardiaca súbita es la principal causa de muerte en atletas, sin embargo, tiene una baja incidencia y es vital reconocer los factores que la pueden desencadenar mediante una valoración preparticipativa, en la cual se incluye una historia clínica completa, con antecedentes familiares, examen físico y electrocardiograma. En este último se debe evaluar los hallazgos que se relacionan con adaptaciones fisiológicas propias del ejercicio y no con patología. No obstante, los hallazgos electrocardiográficos pueden ser muy variados, ya que van a depender del tipo de deporte, la raza, el género y la edad. En otras poblaciones ya se han caracterizado los principales hallazgos tanto electrocardiográficos como ecocardiográficos en futbolistas. Metodología: Estudio observacional, descriptivo de cohorte retrospectivo. en el que se incluyeron a jugadores profesionales mayores de 18 años vinculados al equipo profesional femenino y masculino de Millonarios del 01/01/2017 al 31/01/2022, con valoración médica, electrocardiograma y ecocardiograma. Se incluyeron un total de 111 futbolistas, 81 hombres y 30 mujeres, con una edad promedio de 26 y 24 años respectivamente. La raza predominante fue la raza mestiza en 51,9% en hombres y 86,7 en mujeres, ninguno con sintomatología cardiovascular. En la valoración de electrocardiograma se utilizaron los criterios de Seattle, se encontraron criterios de normalidad en el 84% en hombres y en el 96,7 % en mujeres. En cuanto a los hallazgos limítrofes hubo una presencia de 9,9% en hombres y 3,3%. De los hallazgos anormales 6,2% en hombres y 0% en mujeres. En cuanto a los parámetros ecocardiográficos, una de las principales variables es el grosor parietal relativo, con un punto de cohorte de 0,42, donde en nuestra población sólo el 17% de la población masculina estuvo por encima, mientras que solo el 3% en mujeres, y al relacionar esta variable con el índice de masa muscular del ventrículo izquierdo, para valorar hipertrofia concéntrica, encontramos que solo 1 atleta cumplía los criterios (INMVI > 115 y GRP > 0,42). Finalmente, este estudio nos permitió encontrar las principales características electrocardiográficas y ecocardiográficas de futbolistas profesionales colombianos, y como estas variables se relacionan con las encontradas en otras poblaciones. (Texto tomado de la funte)spa
dc.description.abstractIntroduction: High performance training produces cardiovascular adaptations in response to stimuli and energy demand. These adaptations vary depending on the type of training, race, age, gender. (1–3). Sudden cardiac death is the main cause of death in athletes, however, it has a low incidence, it is vital to recognize the factors that can trigger it, therefore a complete medical history is included in the preparticipation assessment, with family history, exam physical and electrocardiogram; in the latter, it should be evaluated that the findings are related to physiological adaptations of the exercise and not to pathology, despite this, the electrocardiographic findings They can be very varied, since they will depend on the type of sport, race, gender, and age. In other continents, the main electrocardiographic and echocardiographic findings in soccer players have already been characterized, but we do not have a characterization of the Colombian population. (4–7) Objective: To describe the clinical, electrocardiographic, and echocardiographic characteristics of Colombian professional soccer players. Methodology: Observational, descriptive retrospective cohort study. in which professional players over 18 years of age linked to the Millonarios professional women's and men's team were included from 01/01/2017 to 01/31/2022, with medical evaluation, electrocardiogram, and echocardiogram. Results: A total of 111 soccer players were included, 81 men and 30 women, with an average age of 26 and 24 years respectively, the predominant race was the mestizo race in 51.9% in men and 86.7 in women, none with Important cardiovascular symptoms, in the electrocardiogram evaluation the Seattle criteria were used, an average heart rate of 59 bpm was found in men and 62 in women, with a presence of normality criteria in 84% in men and in 96 .7% in women. Among the most frequent normal disorders in men were early repolarization disorder (65.8%), incomplete right bundle branch block 38% and sinus bradycardia in 27.8%. Also in women, the main finding was early repolarization disorder 61.9%. Regarding borderline findings, there was a presence of 9.9% in men and 3.3%. Of the abnormal findings 6.2% in men and 0% in women, the one that occurred most frequently in men was T wave inversion (3%). Regarding the echocardiographic parameters, one of the main variables is the relative wall thickness, with a cohort point of 0.42, where in our population only 17% of the male population was above it, while only 3% in women, and when relating this variable to the left ventricular muscle mass index, to assess concentric hypertrophy, we found that only 1 athlete met the criteria ( INMVI > 115 and GRP > 0.42 ). Conclusions: This study allowed us to find the main electrocardiographic and echocardiographic characteristics of Colombian professional soccer players, and how these variables are related to those found in other populations of athletes, and likewise, how the presence of training-induced cardiovascular adaptations is evidenced.eng
dc.description.degreelevelEspecialidades Médicasspa
dc.description.degreenamemedico del Deportespa
dc.format.extentxviii, 60 páginasspa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameUniversidad Nacional de Colombiaspa
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombiaspa
dc.identifier.repourlhttps://repositorio.unal.edu.co/spa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/83194
dc.language.isospaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.placeBogotá - Colombiaspa
dc.publisher.programBogotá - Medicina - Especialidad en Medicina del Deportespa
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial 4.0 Internacionalspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/spa
dc.subject.lembAthletes - medical examinationseng
dc.subject.lembDeportistas - exámenes médicosspa
dc.subject.lembMedicina deportivaspa
dc.subject.lembSports medicineeng
dc.subject.proposalJugadores profesionales de fútbospa
dc.subject.proposalElectrocardiogramaspa
dc.subject.proposalEcocardiogramaspa
dc.subject.proposalAlto rendimientospa
dc.titleCaracterización de los cambios electrocardiográficos y ecocardiográficos de jugadores de fútbol profesional de un equipo colombianospa
dc.title.translatedCharacterization of the electrocardiographic and echocardiographic changes of professional soccer players of a Colombian teameng
dc.typeTrabajo de grado - Especialidad Médicaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TMspa
dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
dcterms.audience.professionaldevelopmentPúblico generalspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa
oaire.awardtitleCaracterización de los cambios electrocardiográficos y ecocardiográficos de jugadores de fútbol profesional de un equipo colombianospa
oaire.fundernameMauricio Dazaspa

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